1780609578 SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
- Enumeration Date
- July 13, 2006
- Last Update
- August 16, 2018
- Authorized Official
- MR. LARRY MCCULLEY
CHIEF OPERATING OFFICER
Phone: (618) 332-0783
Practice Location
- Address
- 180 S 3RD ST STE 103&104
BELLEVILLE, IL 62220 - Phone
- (618) 233-5480
- Fax
- (618) 233-4790
Mailing Address
- Address
- 8080 STATE ST
EAST SAINT LOUIS, IL 622031808 - Phone
- (618) 397-3303
- Fax
- (618) 397-7802
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Professional Counselor Professional | 101YP2500X | Counselor | N/A | N/A | No |
| Clinical Social Worker Clinical | 1041C0700X | Social Worker | N/A | N/A | No |
| Dermatology Physician | 207N00000X | Dermatology | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Physician Assistant | 363A00000X | Physician Assistant | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732740 | 01 | IL | WPS MEDICARE GROUP NUMBER |
Frequently Asked Questions
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s NPI number?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s NPI number is 1780609578.
Which doctor has NPI number 1780609578?
The doctor with NPI number 1780609578 is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC..
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s practice address?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s practice address is 180 S 3RD ST STE 103&104, BELLEVILLE, IL, 62220.
Which doctor practices at 180 S 3RD ST STE 103&104, BELLEVILLE, IL, 62220?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. practices at 180 S 3RD ST STE 103&104, BELLEVILLE, IL, 62220.
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s mailing address?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s mailing address is 8080 STATE ST, EAST SAINT LOUIS, IL, 622031808.
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s phone number?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s phone number is (618) 233-5480.
Who is (618) 233-5480?
(618) 233-5480 is the phone number for SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC..
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s specialty?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s specialty is Federally Qualified Health Center (FQHC).
What type of doctor is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is a Federally Qualified Health Center (FQHC).
Is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. a Federally Qualified Health Center (FQHC)?
Yes, SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is a Federally Qualified Health Center (FQHC).
Is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. still practicing?
Yes, SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is currently practicing.
Is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. accepting new patients?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. may be accepting new patients. Please call their office at (618) 233-5480 to inquire about availability.
Is NPI 1780609578 still active?
Yes, NPI 1780609578 is currently active.
Where does SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. practice?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. practices in BELLEVILLE, IL.